27/08/2026
Friesian horses appear to have a breed-associated predisposition to gastric impaction, a relatively uncommon but serious cause of colic in which ingesta accumulates in the stomach because gastric emptying is impaired. Progressive stomach distension can develop and, in severe cases, may result in gastric rupture.
Evidence suggests that Friesians are over-represented among hospital cases and may have a less favourable prognosis than other breeds. This susceptibility may be linked to underlying differences in gastrointestinal motility or connective-tissue function, although the precise mechanism has not yet been established.
A retrospective review of 125 equine gastric-impaction cases presented to Utrecht University found that Friesians accounted for almost one third of affected horses.
The study also examined cola as a veterinary treatment adjunct.
Administered via a nasogastric tube, cola’s low pH and carbonation may help soften and disperse compacted gastric contents, supporting their breakdown and passage. Its use has been partly informed by similar treatment approaches for some human gastric bezoars.
Overall, 57.6 percent of horses in the study survived to hospital discharge. Horses that received cola had a higher observed survival rate than those that did not, at 82.8 percent compared with 35.8 percent.
However, survival among cola-treated Friesians was lower than in treated non-Friesian horses, at 66.7 percent and 90 percent respectively. These findings support concern that Friesians may be both more susceptible to gastric impaction and more difficult to treat successfully.
Importantly, this was a retrospective study, so treatment protocols, dose, frequency, and severity of cases were not standardised. The findings therefore show an association between cola treatment and survival, but do not prove that cola caused the improved outcome.
Reference: Witt, P., Hagedoorn, S., Kranenburg, L. C., & van den Boom, R. (2021). The use of cola for the treatment of gastric impactions in equids. Pferdeheilkunde–Equine Medicine, 37(6). https://doi.org/10.21836/PEM20210604